How much rates vary
Facilitymedian $316 · 10th to 90th $195 to $2,042Professionalmedian $263 · 10th to 90th $141 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | None | $125.89 | $165.96 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $660.69 | Facility | None | $158.49 | $199.53 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $489.78 | Professional | None | $173.78 | $281.84 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | None | $204.17 | $295.12 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $7,943.28 | Facility | None | $199.53 | $338.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $363.08 | Professional | None | $138.04 | $208.93 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $363.08 | Facility | None | $194.98 | $302.00 | $363.08 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $660.69 | Facility | None | $158.49 | $229.09 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $281.84 Typical High $478.63 | Professional | None | $79.43 | $281.84 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,235.94 | Facility | None | $1,905.46 | $2,691.53 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $478.63 | Professional | None | $234.42 | $346.74 | $478.63 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $524.81 | Professional | None | $194.98 | $309.03 | $524.81 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $69.18 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | 54 · Surgery only | $104.71 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.99 Typical High $30.90 | Professional | 55 · Aftercare only | $20.89 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.13 | $15.85 | $20.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $69.18 | $69.18 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $28.18 | $41.69 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $154.88 | Professional | 54 · Surgery only | $104.71 | $104.71 | $154.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $30.90 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $30.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $20.89 |
Where Oregon sits
The same service costs 3.7 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 6th of 51
$295
WI $501KY $135
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.